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NPI 1992040596 · Preferred Provider Organization · Austin, TX
Provider details
- NPI number
- 1992040596
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Deborah Burks, Owner(512) 653-4751
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4212 Alexandria Dr
Austin, TX 78749-3940
Phone: (512) 653-4751
Fax: (512) 912-1842
Street-level locationGet directions
Mailing address
4212 Alexandria Dr
Austin, TX 78749-3940
Registry dates
- Enumerated
- 2012-12-07
- Last updated
- 2012-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.